Dwi Hidayah
Faculty of Medicine, Sebelas Maret University

Published : 8 Documents
Articles

Found 8 Documents
Search

Hubungan antara Hipoglikemi dengan Kejadian Hipotermi pada Neonatus Rujukan di RSUD Dr. Moewardi

Nexus Kedokteran Klinik Vol 2, No 1 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Original Source | Check in Google Scholar

Abstract

Neonatal hypoglycaemia is an avoidable cause of mortality and neurodevelopmental impairment. Hypoglicemia may develop to hypothermia as a result of metabolic thermogenesis disturbance. Hypothermia during the newborns period is widely regarded as a major contributory cause of significant morbidity and mortality in developing countries including Indonesia, about 7% prevalence of hypothermia has been reported happens on newborns.  The objective of this study was to determine the association between hypoglicemia and hypotermia in newborns. An analytic observational using cross sectional approach was used in this study. A total of eighty one newborns was selected by fixed-disease sampling. Sample of this study were the newborns who referred to Dr. Moewardi Hospital. The data were collected by the measurement of blood glucose concentration and axillary temperature of newborns. The data was analyzed using multiple logistic regression test on SPSS 16 for Windows. Hypoglycemic newborns have a risk of hypothermia 2.381 times higher than non hypoglicemic newborns after controlling some confounding factors, such as: age, birth weight, gestational age, and status of asphyxia, altough it was statistically not significant (OR = 1.98; CI = 95%; 0.54, 7.73; p = 0.305). Early neonatal age (0-7 days), low birth weight (< 2.500 gram), early gestational age (< 37 weeks), asphyxia status were also risk factors of hypothermia in newborns. There was a moderate association between hypoglicemia and hypothermia on referral newborns, altough it was statistically not significant. Hypoglycemic newborns have a higher risk of hypothermia than non hypoglicemic newborns after controlling some confounding factors, such as: age, birth weight, gestational age, and status of asphyxia. Keywords: newborns, referral, hypoglicemia, hypothermia

Hubungan Anemia Dengan Hipotermia Pada Neonatus Di RSUD Dr. Moewardi

Nexus Kedokteran Klinik Vol 2, No 2 (2013): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Original Source | Check in Google Scholar

Abstract

Background: Based on data from Departemen Kesehatan Republik Indonesia (2007), one of the causes of death in the first 24 hours of life is hypothermia. Hypothermia is caused by the reduction of heat production. The production of heat in of neonates are strongly associated with the supply of oxygen. Anemia is body’s condition with haemoglobin levels below normal score according to age and gender. The oxygen supply to tissues is reduced if haemoglobin level is decreased, causing the reduction of heat production. The aim of this research is to know about the association between anemia and hypothermia on neonates. Methods: This is an observational analytic research with cross sectional design. This research was done in RSUD Dr.Moewardi. The samples were the neonates who were treated in the High Care Unit (HCU) of neonates in RSUD Dr.Moewardi on the 3rd until 15th of March 2013. Dependent variable was hypothermia, and the independent variable was anemia. The neonates’ haemoglobin levels were measured then the neonates’ temperature were observerd every 3 hours for 24 jam. The data were analyzed using fisher test, because the requirements of chi-square test were not met. Result: The results from fisher test were p = 0,225. Conclusion: The analysis showed there was not association between anemia and hypothermia in this research. Keyword: anemia, hypothermia, neonates

Diagnostic value of newborn foot length to predict gestational age

Paediatrica Indonesiana Vol 57 No 4 (2017): July 2017
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (258.664 KB)

Abstract

Background  Identification of gestational age, especially within 48 hours of birth, is crucial for newborns, as the earlier preterm status is detected, the earlier the child can receive optimal management. Newborn foot length is an anthropometric measurement which is easy to perform, inexpensive, and potentially efficient for predicting gestational age.Objective  To analyze the diagnostic value of newborn foot length in predicting gestational age.Methods  This diagnostic study was performed between October 2016 and February 2017 in the High Care Unit of Neonates at Dr. Moewardi General Hospital, Surakarta. A total of 152 newborns were consecutively selected and underwent right foot length measurements before 96 hours of age. The correlation between newborn foot length to classify as full term and gestational age was analyzed with Spearman’s correlation test because of non-normal data distribution. The cut-off point of newborn foot length was calculated by receiver operating characteristic (ROC) curve and diagnostic values of newborn foot length were analyzed by 2 x 2 table with SPSS 21.0 software.Results There were no significant differences between male and female newborns in terms of gestational age, birth weight, choronological age, and newborn foot length (P>0.05). Newborn foot length and gestational age had a significant correlation (r=0.53; P=0.000). The optimal cut-off newborn foot length to predict full term status was 7.1 cm. Newborn foot length below 7.1 cm had sensitivity 75%, specificity 98%, positive predictive value 94.3%, negative predictive value 90.6%, positive likelihood ratio 40.5, negative likelihood ratio 0.25, and post-test probability 94.29%, to predict preterm status in newborns.Conclusion  Newborn foot length can be used to predict gestational age, especially for the purpose of differentiating between preterm and full term newborns.

Profil Sindrom Aspirasi Mekonium pada Bayi Baru Lahir di RSUD Dr. Soetrasno Rembang

Smart Medical Journal Vol 1, No 2 (2018): Smart Medical Journal
Publisher : Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Original Source | Check in Google Scholar | Full PDF (175.241 KB)

Abstract

Introduction: The presence of meconium in amniotic fluid occurs in 13% of live births in developing countries. This condition develops when the gestational age increases at delivery. Meconium aspiration syndrome occurs in 5% of newborns in meconium stained amniotic fluid. The aim of this study is to determine the profile of newborns who experience meconium aspiration syndrome (MAS) who are treated at Dr. Soetrasno Hospital, Rembang and its outcome.Methods: Prospective study, data were obtained from medical records of Dr. Soetrasno Hospital, Rembang during September to October 2018, on newborns with MAS.Results: Of 12 newborns with MAS were obtained, consisting of 7 (58.3%) male and 5 (41.7%) female. All cases were term infants (gestational age above 37 weeks) and normal birth weight (above 2500 grams). Based on the first minute APGAR score, there were 4 newborns had score 1 and 2, respectively (33.3%). Based on the fifth minute APGAR score, there were 7 newborns had score 3 (58.3%). The outcome of newborns with MAS were 7 alive (58.3%) and 5 died (41.7%).Conclusion: There were 12 newborns suffering from MAS (54.5%) of 22 babies hospitalized at the NICU dr. Soetrasno Hospital Rembang. All newborns with MAS were term infants and normal birth weight. There were 5 newborns with MAS which required invasive mechanical ventilation (intubation) and all died (41.7%). 

Perbedaan Pengaruh antara Pengaturan Suhu Ruang Operasi 240-260C dan 200-220C Terhadap Suhu Bayi Lahir Kurang Bulan

Sari Pediatri Vol 18, No 5 (2017)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Original Source | Check in Google Scholar

Abstract

Latar belakang. Bayi kurang bulan rentan terhadap stres dingin sehingga berisiko terjadi hipotermi. Hal ini menjadikan faktor suhu ruangan sangat penting sebagai bagian dari manajemen suhu pada kelahiran bayi kurang bulan.Tujuan. Menganalisis perbedaan pengaruh antara pengaturan suhu ruang operasi 240-260C dan 200-220C terhadap suhu bayi kurang bulan berat lahir rendah.Metode. Uji klinis dengan randomisasi dilakukan pada bulan Oktober 2016–Januari 2017 di ruang operasi IGD RS Dr. Moewardi Surakarta. Enampuluh bayi diambil secara konsekutif dibagi dalam kelompok kontrol (suhu operasi 200-220C) dan kelompok perlakuan (suhu ruang operasi 240-260C). Distribusi data tidak normal sehingga dalam bentuk median dan dianalisis menggunakan chi square dan Mann-Whitney test dengan program SPSS 17.0.Hasil. Median suhu bayi baru lahir pada kelompok perlakuan (36,10C) berbeda signifikan (p<0,001) secara statistik dibandingkan pada kelompok kontrol (35,70C), tetapi tidak berbeda secara klinis. Hasil analisis regresi linear ganda menunjukkan bahwa suhu ruang operasi (B=0,111; IK95%: 0,072 – 0,150; p<0,001), berat lahir (B=0,001; IK95%: 0,000 – 0,001; p<0,001), dan skor APGAR 1 menit (B=0,111; IK95%: 0,026 – 0,196; p=0,012) memiliki korelasi positif yang secara statistik signifikan dengan suhu bayi baru lahir.Kesimpulan. Suhu ruang operasi 240-260C akan menaikan median suhu lahir bayi kurang bulan, walaupun kejadian hipotermia tidak berbeda. Sari Pediatri

Social maturity among obese children in Surakarta, Indonesia

Paediatrica Indonesiana Vol 46 No 4 (2006): July 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar

Abstract

Background Although it is clear that childhood obesity has asso-ciation with many aspects included social aspect, the social matu-rity aspect on childhood obesity is scarcely found.Objective To examine the prevalence of social maturity and thepossible associated factors among obese children.Methods A cross sectional study was conducted from January toFebruary 2005. Twenty percent of elementary schools in every sub-district were randomly selected. All obese children from selectedschools were recruited to the study after obtaining the informedconsent. Criteria of obesity in children was based on BMI e”95 thpercentile according to age and sex. Social maturity was measuredusing Vineland Social Maturity Scale, which consisted of 8 catego-ries, i.e., self-help general, self-help eating, self-help dressing, self-direction, occupation, communication, locomotion, and socializa-tion. Social maturity score was determined using age group. Thetotal score was divided into two categories i.e. immature and ma-ture. Possible associated factors with the social maturity such asgender, maternal education less than 9 years, being held back aclass, and parental guidance by step mother were analyzed usingSPSS 10.0 for Windows.Results There were 158 obese children recruited in the study. Theprevalence of social immaturity was 32.5%. The odds ratio (OR)for parental guidance by single parent or others was 2.32 (95%CI1.01;5.31); OR for intelligence was 3.93 (95%CI 1.42;10.89); ORfor male was 2.41 (95%CI 1.08;5.38) and OR for maternal educa-tion less than 9 years was 1.22 (95%CI 0.61;2.41). Multivariateregression, analysis showed significant association between gen-der (for male OR=2.44; 95%CI 1.06;5.58) and intelligence(OR=3.31; 95%CI 1.12;9.84) with social maturity.Conclusion The prevalence of social maturity in obese children ishigh. The factors associated with social maturity among obese chil-dren are the history of had ever been held back a class and male.Further investigation is needed to find out the understanding ofspecific influence of social maturity in the prevalence of obesity.

Risk factors for neonatal mortality at Moewardi Hospital, Surakarta

Paediatrica Indonesiana Vol 54 No 4 (2014): July 2014
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar | Full PDF (93.804 KB)

Abstract

Background Neonatal mortality remains a major concern indeveloping countries. Identifying potential risk factors is importantin order to decrease the neonatal mortality rate. In MoewardiHospital, Surakarta, the risk factors for neonatal mortality havenot been assessed.Objective To evaluate potential risk factors of n eonatalmortality.Methods We reviewed medical records of all neonates hospitalizedin the neonatal intensive care unit (NICU) at Dr. MoewardiHospital from January to December 2011. Analyzed variables weresex, birth weight, gestational age, maternal age, place of delivery,mode of delivery, and sepsis. Data were analyzed by Chi square andbinary logistic regression with 95% confidence intervals (CI).Results Out of841 neonates, the mortality rate was 212 (25.2%).Univariate logistic regression revealed that the significant riskfactors for neonatal mortality were preterm (OR 4.41 ; 95%CI4.24 to 4.57; P=0.0001) , low bir th weight (OR 4.30; 95%CI4.13 to 4.47; P=0.0001), sepsis (OR 2.99; 95%CI 2.81 to 3.17;P=0.0001), maternal age 2:35 years (OR 1.53; 95%CI 1.37 to1.70), and non-spontaneous delivery (OR 1.67; 95%CI 1.50 to1.84). Further multivariate regression analysis revealed that thesignificant risk factors were preterm (OR 2.2 7; 95%CI 2.05 to 2.48;P=0.0001), low birth weight (OR 2.49; 95%CI 2.27 to 2.71; P=0.0001), and sepsis (OR 2.50; 95%CI 2.30 to 2.69; P= 0.0001).Conclusion The risk factors for neonatal mortality in the NICUare preterm, low birth weight, and sepsis.

Factors affecting mortality of neonatal sepsis in Moewardi Hospital, Surakarta

Paediatrica Indonesiana Vol 47 No 2 (2007): March 2007
Publisher : Indonesian Pediatric Society

Show Abstract | Original Source | Check in Google Scholar

Abstract

Background Mortality of neonatal sepsis is still a significantproblem. It might be affected by many factors.Objective The purpose of this study was to determine factorswhich affect mortality of neonatal sepsis at neonatal ward ofMoewardi Hospital, Surakarta.Methods Data of neonatal sepsis was obtained from medicalrecords at the neonatal ward of Moewardi Hospital from December2004 to November 2005. We recorded data from 97 neonatalsepsis consisted of 46 male and 52 female babies. Statisticalanalysis had been performed using univariate Chi-square andmultivariate multiple logistic regression analysis.Results Overall neonatal sepsis mortality was about 40%. Therewere no significant difference in factors associated with mortalityof neonatal sepsis such as gender (OR=0.44; 95% CI 0.19;1.014),referral patients (OR=1.61; 95% CI 0.195;.014), and bacterialgrowth culture (OR=1.96; 95% CI 0.856;4.44), except for birthweight which affected mortality (OR=6.29; 95% CI 2.57;15.42).Conclusion Birth weight affects mortality of neonatal sepsis inMoewardi Hospital. Patients with positive bacterial growth culturehas two times higher risk of death, however, it is not statisticallysignificant.